Alprostadil for injection at MultiCare Deaconess Hospital
800 West Fifth Avenue, Spokane, WA · Multicare · · NPI 1356528269
$0.75
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$1.86
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$0.69 with First Choice vs $18.21 with Premera — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| First Choice | MHS Employee MCC/PPO | $0.69 | ↓ -8% |
| Aetna | All Commercial Plans | $0.84 | ↑ +12% |
| First Choice | MCC Wellfound Employee | $0.90 | ↑ +20% |
| First Choice | PPO | $1.30 | ↑ +73% |
| First Health | All Commercial Plans | $1.32 | ↑ +76% |
| Multiplan/PHCS | All Commercial Plans | $1.36 | ↑ +81% |
| Premera | Other Commercial Plans | $15.09 | ↑ +1912% |
| Premera | Prime | $15.09 | ↑ +1912% |
| Premera | Signature | $15.09 | ↑ +1912% |
| Premera | HMO | $18.21 | ↑ +2328% |
Visitor-reported prices
Comments
Alprostadil for injection at other Washington hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Providence Sacred Heart Medical Center and Children's Hospital | Spokane | $1,379.73 | $11.06 – $20.96 |
| Providence Holy Family Hospital | Spokane | $1,379.73 | $11.06 – $20.96 |
| Swedish Medical Center - First Hill Campus | Seattle | $330.12 | $11.06 – $11.06 |
| Swedish Medical Center Cherry Hill | Seattle | $330.12 | $11.06 – $11.06 |
| Swedish Issaquah | Issaquah | $423.66 | $11.06 – $11.06 |
| Providence Centralia Hospital | Centralia | $677.04 | $1.41 – $26.41 |
| Swedish Edmonds Hospital | Edmonds | $330.12 | $11.06 – $11.06 |
| Providence St Mary Medical Center | Walla Walla | $931.56 | $20.96 – $20.96 |